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Patient Estimates


I accept that this is only an estimate of what I should expect to pay and is not a guarantee of the final amount I will owe. - The estimate approximates my out-of-pocket responsibility based on the information I provided in the previous screens including the location and the list of services I expect to have. - Additional services ordered by my physician may not be included in this estimate. My actual cost may be higher or lower than the estimate depending on many factors including unforeseen complications, additional services required by my diagnosis or length of stay. - If insurance was selected, this estimate does not include any unforeseen changes to my insurance coverage or benefits. These changes could include benefit limitations, outstanding deductible, maximum out-of-pocket, co-insurance, or other network limitations imposed by my health insurance. For more information about my out-of-pocket obligations and to verify if this is a covered service under my benefit plan, I should contact my insurance provider directly.

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